{"created":"2023-06-20T15:52:42.985522+00:00","id":6981,"links":{},"metadata":{"_buckets":{"deposit":"7b04bbb0-c35a-4dfe-8c4a-37f40a9e2880"},"_deposit":{"created_by":8,"id":"6981","owners":[8],"pid":{"revision_id":0,"type":"depid","value":"6981"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00006981","sets":["153:154:247"]},"author_link":["25276","25278","25271","25272","25275","25273","25274","25277"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-05-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"54","bibliographicPageStart":"49","bibliographicVolumeNumber":"23","bibliographic_titles":[{"bibliographic_title":"仙台赤十字病院医学雑誌"},{"bibliographic_title":"Medical Journal of Sendai Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"先天梅毒は本邦において2009年1月〜2013年2月に16例報告され、近年稀だが重要な母子感染症である。今回、妊娠初期の梅毒検査陽性を見逃され、未治療のまま経過し先天梅毒児を出産した一例を経験した。症例は22歳の初産婦で、妊娠30週2日に胎動減少、性器出血を訴え、前医を受診し胎児心拍陣痛図で遅発一過性徐脈を認め当院に母体搬送された。胎児超音波検査で肝腫大、腹囲拡大、腹水を認め、胎児心拍陣痛図で基線細変動の減少、高度遅発一過性徐脈を認めた。胎児機能不全と診断し、緊急帝王切開を施行、1,715gの女児を娩出、臍帯動脈血pH 7.109、Apgar 1分値1点、5分値5点であった。出生児はRPR陽性、TPHA陽性で、水疱性皮疹、肝腫大、貧血、血小板減少が認められ先天梅毒と診断した。先天梅毒は早期診断・治療で防ぎうる疾患であり、妊娠初期のスクリーニング検査の重要性を再認識した。","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"FUJIMINE, Ayako"}]}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"仙台赤十字病院"}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0917-8724","subitem_source_identifier_type":"ISSN"}]},"item_5_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"藤峯, 絢子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 久也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"太田, 恭子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"齋藤, 美帆"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中里, 浩樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"武山, 陽一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"谷川原, 真吾"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-08-19"}],"displaytype":"simple","filename":"p049-054.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf049-054","url":"https://redcross.repo.nii.ac.jp/record/6981/files/p049-054.pdf"},"version_id":"d387d709-d218-43ea-9b8d-d2dc84f09862"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"無症候性梅毒","subitem_subject_scheme":"Other"},{"subitem_subject":"体内感染","subitem_subject_scheme":"Other"},{"subitem_subject":"性感染症","subitem_subject_scheme":"Other"},{"subitem_subject":"胎児心拍陣痛図","subitem_subject_scheme":"Other"},{"subitem_subject":"MRI","subitem_subject_scheme":"Other"},{"subitem_subject":"出生前超音波診断","subitem_subject_scheme":"Other"},{"subitem_subject":"胎児仮死","subitem_subject_scheme":"Other"},{"subitem_subject":"妊娠合併症","subitem_subject_scheme":"Other"},{"subitem_subject":"梅毒血清反応","subitem_subject_scheme":"Other"},{"subitem_subject":"先天梅毒","subitem_subject_scheme":"Other"},{"subitem_subject":"感染症垂直伝播","subitem_subject_scheme":"Other"},{"subitem_subject":"遅延診断","subitem_subject_scheme":"Other"},{"subitem_subject":"新生児","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"technical report"}]},"item_title":"妊娠中の検査結果の見逃しにより先天梅毒児を出産した一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"妊娠中の検査結果の見逃しにより先天梅毒児を出産した一例"},{"subitem_title":"A case of mother with untreated syphilis during pregnany","subitem_title_language":"en"}]},"item_type_id":"5","owner":"8","path":["247"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-08-19"},"publish_date":"2014-08-19","publish_status":"0","recid":"6981","relation_version_is_last":true,"title":["妊娠中の検査結果の見逃しにより先天梅毒児を出産した一例"],"weko_creator_id":"8","weko_shared_id":-1},"updated":"2023-06-20T20:18:42.429404+00:00"}